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Journal of Advanced Nursing最新文献

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Patient Agitation in the Intensive Care Unit: A Concept Analysis
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-25 DOI: 10.1111/jan.17000
Anne Mette N. Adams, Diane Chamberlain, Charlotte Brun Thorup, Matthew J. Maiden, Cherie Waite, Hila Ariela Dafny, Kay Bruce, Tiffany Conroy
Exploring the concept of patient agitation in the intensive care unit.
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引用次数: 0
A Neonatal Nurse-Controlled Model of Analgesia to Manage Post-Operative Pain in the Surgical Neonate: A Pilot Randomised Controlled Trial
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-24 DOI: 10.1111/jan.16992
Renee Muirhead, Kathryn Kynoch, Glenda Hawley, Emma Ballard, Pita Birch, P. A. Lewis
To test the feasibility and acceptability of a newly developed model of neonatal nurse-controlled analgesia to manage pain in the post-operative infant.
{"title":"A Neonatal Nurse-Controlled Model of Analgesia to Manage Post-Operative Pain in the Surgical Neonate: A Pilot Randomised Controlled Trial","authors":"Renee Muirhead, Kathryn Kynoch, Glenda Hawley, Emma Ballard, Pita Birch, P. A. Lewis","doi":"10.1111/jan.16992","DOIUrl":"https://doi.org/10.1111/jan.16992","url":null,"abstract":"To test the feasibility and acceptability of a newly developed model of neonatal nurse-controlled analgesia to manage pain in the post-operative infant.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"91 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the Implementation of Strategies to Improve Evidence-Based Surgical Care: A Focus Group Study
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-24 DOI: 10.1111/jan.16988
Karolina Härle, Carina Wennerholm, Jenny Drott
To evaluate healthcare professionals' perspectives on factors that lead to success in the implementation of strategies to strengthen evidence-based surgical nursing care.
{"title":"Evaluating the Implementation of Strategies to Improve Evidence-Based Surgical Care: A Focus Group Study","authors":"Karolina Härle, Carina Wennerholm, Jenny Drott","doi":"10.1111/jan.16988","DOIUrl":"https://doi.org/10.1111/jan.16988","url":null,"abstract":"To evaluate healthcare professionals' perspectives on factors that lead to success in the implementation of strategies to strengthen evidence-based surgical nursing care.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"68 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to Ensure High-Quality Information and Communication for People With Advanced Cancer
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-24 DOI: 10.1111/jan.17006
Zhijie Hu
<p>Rabben et al. (<span>2025</span>) investigated the perceptions and experiences of individuals with advanced-stage cancer and their family caregivers regarding shared decision-making in palliative care. Five key themes were identified by the researchers through qualitative interviews: (1) treatment options are intrinsically connected to critical life-and-death decisions, underscoring their importance; (2) patients and caregivers expressed varied expectations and preferences regarding their participation in decision-making; (3) uncertainty existed regarding the practicality and scope of shared decision-making, affected by emotional challenges and systemic obstacles; (4) access to high-quality information and effective communication was considered vital for meaningful engagement and (5) the role of nurses in the decision-making process was not clearly delineated. The findings highlight the critical necessity for enhanced, inclusive communication strategies within palliative care. We present various viewpoints on ensuring the provision of high-quality information and communication for individuals facing advanced cancer.</p><p>Initially, healthcare professionals must evaluate the informational requirements, cognitive abilities and preferences of each patient regarding their participation in decision-making. Tailoring discussions to these particular factors enhances engagement and helps patients and caregivers navigate complex medical information. Open, honest and compassionate conversations about prognosis, treatment options and expected outcomes are essential for building trust and facilitating informed choices. Structured and coherent conversations that involve both patients and their family caregivers promote shared understanding, reduce ambiguity and improve collaborative decision-making. Moreover, collaboration across various disciplines is crucial; engaging nurses, social workers, and palliative care specialists fosters a holistic approach and ensures that communication remains consistent within the care team. It is essential for clinicians to record patients' values, goals and care preferences, integrating these elements into treatment planning to guarantee alignment with individual priorities. This model of communication focused on the patient is essential for providing exceptional palliative care and improving the overall care experience.</p><p>Second, nurses are essential in facilitating effective information exchange and communication for patients with advanced cancer. They possess a distinctive ability to evaluate patients' understanding of medical information, elucidate intricate concepts and address both emotional and informational requirements, owing to their ongoing presence and strong therapeutic relationships with patients and families. Through consistent engagement at the bedside, nurses are able to identify potential issues early and relay them swiftly to the multidisciplinary team, thus promoting timely and coordinated care.
{"title":"How to Ensure High-Quality Information and Communication for People With Advanced Cancer","authors":"Zhijie Hu","doi":"10.1111/jan.17006","DOIUrl":"https://doi.org/10.1111/jan.17006","url":null,"abstract":"&lt;p&gt;Rabben et al. (&lt;span&gt;2025&lt;/span&gt;) investigated the perceptions and experiences of individuals with advanced-stage cancer and their family caregivers regarding shared decision-making in palliative care. Five key themes were identified by the researchers through qualitative interviews: (1) treatment options are intrinsically connected to critical life-and-death decisions, underscoring their importance; (2) patients and caregivers expressed varied expectations and preferences regarding their participation in decision-making; (3) uncertainty existed regarding the practicality and scope of shared decision-making, affected by emotional challenges and systemic obstacles; (4) access to high-quality information and effective communication was considered vital for meaningful engagement and (5) the role of nurses in the decision-making process was not clearly delineated. The findings highlight the critical necessity for enhanced, inclusive communication strategies within palliative care. We present various viewpoints on ensuring the provision of high-quality information and communication for individuals facing advanced cancer.&lt;/p&gt;\u0000&lt;p&gt;Initially, healthcare professionals must evaluate the informational requirements, cognitive abilities and preferences of each patient regarding their participation in decision-making. Tailoring discussions to these particular factors enhances engagement and helps patients and caregivers navigate complex medical information. Open, honest and compassionate conversations about prognosis, treatment options and expected outcomes are essential for building trust and facilitating informed choices. Structured and coherent conversations that involve both patients and their family caregivers promote shared understanding, reduce ambiguity and improve collaborative decision-making. Moreover, collaboration across various disciplines is crucial; engaging nurses, social workers, and palliative care specialists fosters a holistic approach and ensures that communication remains consistent within the care team. It is essential for clinicians to record patients' values, goals and care preferences, integrating these elements into treatment planning to guarantee alignment with individual priorities. This model of communication focused on the patient is essential for providing exceptional palliative care and improving the overall care experience.&lt;/p&gt;\u0000&lt;p&gt;Second, nurses are essential in facilitating effective information exchange and communication for patients with advanced cancer. They possess a distinctive ability to evaluate patients' understanding of medical information, elucidate intricate concepts and address both emotional and informational requirements, owing to their ongoing presence and strong therapeutic relationships with patients and families. Through consistent engagement at the bedside, nurses are able to identify potential issues early and relay them swiftly to the multidisciplinary team, thus promoting timely and coordinated care. ","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"31 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mediating Effects of Emotional Exhaustion Between Lateral Violence in Nursing and Turnover Intentions: A Cross-Sectional Survey
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-24 DOI: 10.1111/jan.16907
Aoqi Li, Lili Peng, Xiaojian Jiang, Binbin Ji, Yilan Li, Xinwei Xie
This study aims to determine the mediating effect of emotional exhaustion on the relationship between lateral violence in nursing and turnover intentions.
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引用次数: 0
Letter to ‘Risk Prediction Models for Frailty in Adult Maintenance Haemodialysis Patients: A Systematic Review and Methodological Appraisal’ 致 "成人维持性血液透析患者虚弱风险预测模型 "的信:系统回顾和方法评估
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-24 DOI: 10.1111/jan.16998
Xue Chen, Dianpu Zhang

We read with great interest the recent article ‘Risk Prediction Models for Frailty in Adult Maintenance Hemodialysis Patients: A Systematic Review and Methodological Appraisal’ by Zhang et al. (2025), an important contribution to the field of predictive modelling in nephrology. The authors adeptly summarised methodological challenges and highlighted the critical gaps in the development and validation of frailty prediction models. However, through a deeper reflection, we would like to revisit and expand upon certain aspects of their findings, particularly regarding the methodological rigour, clinical utility, and future directions for research and implementation.

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引用次数: 0
The Mediating Role of Authentic Followership in the Relationship Between Job Crafting and Nurses' Quality of Work Life 真实追随者在工作雕琢与护士工作生活质量关系中的中介作用
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-24 DOI: 10.1111/jan.16993
Ahmed Farghaly Tawfik, Ayman Mohamed El-Ashry, Sanaa Hassan Mohamed, Shimaa Abd El-fattah Mahgoub
The dynamic landscape of contemporary healthcare organisations presents substantial challenges and competition, underscoring the imperative to improve the quality of work life for staff nurses.
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引用次数: 0
Self-Management Scale for Chronic Pruritus in Older People: Instrument Development and Preliminary Validation
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-24 DOI: 10.1111/jan.16901
Fanyu Zhao, Xiumei Zhou, Qian Liu, Lupei Yan, Xiuying Hu
Chronic pruritus has a significant global impact, which is common in the elderly population. Developing a standardised and validated assessment tool is the basis for managing chronic pruritus. However, there is little research on standardised assessment tools for self-management in older people with chronic pruritus.
{"title":"Self-Management Scale for Chronic Pruritus in Older People: Instrument Development and Preliminary Validation","authors":"Fanyu Zhao, Xiumei Zhou, Qian Liu, Lupei Yan, Xiuying Hu","doi":"10.1111/jan.16901","DOIUrl":"https://doi.org/10.1111/jan.16901","url":null,"abstract":"Chronic pruritus has a significant global impact, which is common in the elderly population. Developing a standardised and validated assessment tool is the basis for managing chronic pruritus. However, there is little research on standardised assessment tools for self-management in older people with chronic pruritus.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"17 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post‐Intensive Care Syndrome: A Growing and Under‐Recognised Condition
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-19 DOI: 10.1111/jan.16995
Yuan Chu, David R. Thompson, Josef Trapani, Fiona Timmins
{"title":"Post‐Intensive Care Syndrome: A Growing and Under‐Recognised Condition","authors":"Yuan Chu, David R. Thompson, Josef Trapani, Fiona Timmins","doi":"10.1111/jan.16995","DOIUrl":"https://doi.org/10.1111/jan.16995","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"56 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceptions of Ontological Coaching Among Nurses (OCN): A Descriptive Qualitative Study
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-04-19 DOI: 10.1111/jan.16968
Shefaly Shorey, Sow Chun Ng, Mien Li Goh, Siti Zainah Binte Mohamed Rian, Siti Zubaidah Mordiffi, Jancy Matthews, Pao Yi Chan, Ting Shian Chiang, Margaret Lee, Joyce Er, Emily Ang
AimTo examine the perceptions of nurses receiving the Ontological Coaching among Nurses (OCN) intervention in Singapore.DesignDescriptive qualitative.MethodsConvenience sampling was used to recruit 34 nurses who received OCN intervention and three coaches who provided the intervention. Written informed consent was obtained, and semi‐structured, one‐on‐one interviews were used to collect data, which were then transcribed verbatim. Thematic analysis was used to analyse the data.ResultsThree themes with nine sub‐themes were identified. The main themes were: (1) From ‘Outlet to Confide’: Ontological Coaching as an Enhanced Sense of Fulfilment; (2) Mindset Readiness and Openness for Successful Coaching; and (3) Future Endeavours for Sustainable Coaching Practices.ConclusionThe findings show that nurses benefitted on personal and professional fronts from receiving coaching. Further evaluations are required to see the potential of using coaching intervention for novice nurses.Implications and ImpactAs frontline key players in our healthcare system, nurses face a unique set of challenges that impact their psychological well‐being. The impact is even more significant for early‐to mid‐career nurses, leading to poorer quality of life and high turnover rates. This paper highlighted the importance of resources made available to novice and mid‐career nurses through coaching. The perceptions of nurses who received coaching intervention serve as a foundation for future studies examining the relevance of ontological coaching in the nursing profession. The nurses' recommendations reported in this paper include building awareness of coaching and incorporating flexibility into coaching programmes to help enhance their readiness to receive and engage with coaching for a more fulfilling coaching experience. Incorporating these recommendations can help inform future coaching‐related interventional studies.Reporting MethodThis study adhered to COREQ guidelines.Patient and Public ContributionNone.
方法采用便利抽样法,招募了 34 名接受过 OCN 干预的护士和 3 名提供干预的教练。在获得书面知情同意后,采用半结构式一对一访谈收集数据,然后逐字转录。结果确定了三个主题和九个次主题。主要主题有(1) 从 "出口到倾诉":结论研究结果表明,护士从接受辅导中获得了个人和职业方面的益处。作为医疗保健系统的一线关键人物,护士面临着一系列独特的挑战,这些挑战影响着他们的心理健康。对于职业生涯初期到中期的护士来说,这种影响甚至更为显著,从而导致生活质量下降和高离职率。本文强调了通过辅导向职业生涯初期和中期护士提供资源的重要性。接受辅导干预的护士的看法为今后研究本体辅导在护理行业的相关性奠定了基础。本文报告的护士建议包括建立对教练的认识,并在教练计划中加入灵活性,以帮助她们做好接受和参与教练的准备,从而获得更充实的教练体验。采纳这些建议有助于为未来与教练相关的干预性研究提供参考。报告方法本研究遵守COREQ指南。
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引用次数: 0
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Journal of Advanced Nursing
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